KATHERINE MARY SIEDOR


Address: 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764
Phone: 6783129100

KATHERINE MARY SIEDOR (NPI# 1285013458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285013458
Entity Type Individual
Full Name KATHERINE MARY SIEDOR
Credential PA
Practice Address 766 Walther Rd
Suite 100
Lawrenceville
GA 30046-8764
Mailing Address 3000 Mornington Dr Nw
Atlanta
GA 30327-1222
Practice Telephone 6783129100
Mailing Telephone 4042454409
Enumeration Date 2015-05-21
Last Update Date 2015-05-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 766 WALTHER RD
SUITE 100
City LAWRENCEVILLE
State GA
Zip Code 30046-8764

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043206477 Michael A. Lipsitt Internal Medicine 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764 2005-09-21
1699166173 Gladys Orwenyo Nurse Practitioner 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764 2015-02-05
1851630925 Tiffany Kay Lanford Nurse Practitioner 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764 2013-02-08
1679818991 Gwinnett Heart Specialists LLC Internal Medicine 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764 2012-11-28
1356507115 Ajaz L Chaudhry Otolaryngology 766 Walther Rd, Suite 300, Lawrenceville, GA 30046-8764 2008-07-31
1790948578 Atlanta Gwinnett Obgyn Associates PC Obstetrics & Gynecology 766 Walther Rd, Suite 100, Lawrenceville, GA 30045-8726 2008-07-02
1619157989 Atlanta Gwinnett Women's Specialists Obstetrics & Gynecology 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8765 2007-11-05
1427199546 Marcus Ceri Sims Internal Medicine 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764 2007-02-09
1366456964 Gregory Todd Fountain Obstetrics & Gynecology 766 Walther Rd, Suite 100, Lawrenceville, GA 30046-8764 2006-07-28
1336107978 Lemuel G Villanueva Obstetrics & Gynecology 766 Walther Rd, Suite 200, Lawrenceville, GA 30046-8765 2006-05-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063023174 Alpha & Omega Hearing Centers Hearing Instrument Specialist Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 2020-08-12
1285259846 Mesun Health Services, Inc Clinical Nurse Specialist 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 2020-06-10
1215550264 Mesun Health Services, Inc Skilled Nursing Facility 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 2020-05-26
1306499785 Bryan Acosta Chiropractor 471 Scenic Hwy South, Lawrenceville, GA 30046 2019-07-24
1205308616 Belle Lumiere Cosmetics LLC Dermatology 753 Old Norcross Road, Lawrenceville, GA 30046 2018-12-24
1548730179 Alexis Nicole Robinson Nurse Anesthetist, Certified Registered 1000 Medical Center Boulevard, Lawrenceville, GA 30046 2018-11-27
1679060388 Christopher Puckett Student in an Organized Health Care Education/Training Program 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 2018-04-18
1457851255 Advanced Urology Institute of Georgia Urology 501 Crown Point Way, Lawrenceville, GA 30046 2018-02-19
1013447044 Pharmacy Investments of Lawrenceville, LLC Pharmacy 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 2017-06-13
1225577000 Priority Housecalls LLC Clinic/Center 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 2017-02-14
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811531767 Kaceyanne Lynn Cerankowski Physician Assistant 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 2019-11-04
1528579950 Julia Vlada Shumkov Physician Assistant 3100 Princeton Pike Ste D, Lawrenceville, NJ 08648-2300 2017-10-12
1851631337 Dave George Physician Assistant 1960 Riverside Parkway Ste#106, Lawrenceville, GA 30043 2013-02-21
1528375946 Gillian Robinson Physician Assistant 900 Legacy Park Dr, Apt 2333, Lawrenceville, GA 30043-8715 2010-09-07
1376705996 Jacqueline Anne Ritter Physician Assistant 123 Franklin Corner Rd Ste 216, Lawrenceville, NJ 08648 2008-06-25
1457439747 Michelle R Shoultz Physician Assistant 545 Old Norcross Rd Ste 300, Lawrenceville, GA 30045-3390 2006-11-02
1326132408 Michael Johnson Physician Assistant 289 Grayson Hwy Ste 2a, Lawrenceville, GA 30046-5726 2006-10-03
1689626657 Nocollege A Pupuma Physician Assistant 1431 Riverside Pkwy, Suite B, Lawrenceville, GA 30043-5946 2006-05-17
1073576716 Jennifer T. Herbstritt Physician Assistant 2500 Brunswick Pike, Suite 101a, Professional Healthcare Services of Lawrenceville, Lawrenceville, NJ 08648-4134 2006-04-11
1285260745 Elizabeth Joy Elder Sandy Physician Assistant 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762 2020-03-17
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Competitor

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City LAWRENCEVILLE
Zip Code 30046

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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